Transcript Slide 1
Leaning Forward! Emerging Collaborations, Research & Accreditation COAPCR Annual Meeting DIA Convention June 26, 2013 Boston, MA www.coapcr.org Carolynn Thomas Jones, RN, MSPH President, Consortium of Academic Programs in Clinical Research (CoAPCR) Faculty, School of Nursing, University of Alabama at Birmingham Brief Overview: Define CoAPCR Define: What is clinical research? Present career paths and stakeholders Defining core competencies for APCR www.coapcr.org Provides a medium for communication among CRP educators Encourages the development of academically based CRP educational programs. Fosters inter-institutional articulation Initiates research, study and discussion relating to the educational, manpower and service needs of CRPs. Offers a mechanism for program accreditation www.coapcr.org Clinical Research - It’s global. Number of Clinical Trials- March 2013 What is clinical research and who works in that “world”? 10,000 250 Compounds 5 1 FDA Approved Drug TIME: 15 Years COST: $1.6 Billion POTENTIAL STUDENTS Year 0 Drug 15 Discovery Target ID PreClinical Biochemist Microbiologist Geneticists Molecular Biologist Pharmacologist Organic Chemist Medicinal Chemist Statistician MD/PhD Phase I Phase II Phase III Trials Trials Trials Bioinformatics Patent attorney Lawyers Project Manager Pharmacologist Immunologist MD Specialist QA/QC Informatics Statistician Toxicologist Chemist Biotechnologist Biotechnologist Regulatory Affairs CRCs, PIs CRO, CRA Medical Writing Regulatory Project Managers QA/QC Managers Data Managers Statistician Site IRBs Site Pharmacists Phase IV PostMarketing Manufacturer Medical Sales Marketing Medical Writing Communication CRCs, PIs CRO, CRAs Project Managers Data Managers Statistician Site IRBs EMPLOYERS Gov't AMC Indep Private MD X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X RESEARCH CAREERS Pharma CROs Medical Director Medical Scientists Biochemists Biomedical Engineers Genetic Engineers Genetic Counselors Molecular Biologists Research Pharmacists Investigator Process Engineer Manufacturing Packaging, Supply Manager Information Technologist Quality Analysts QA Managers Data Managers Data Validators Quality Auditor Clinical Safety Specialist Biostatistician Scientific Writer Clinical Research Associate Site Monitor Clinical Research Coordinator Research Nurse Manager Clinical Research Nurse Regulatory Affairs Coordinator IRB Specialist Research Assistant Research Lab Manager Research Recruiter Research Site Educator Clinical Research Trainer Project Manager X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X STAKEHOLDERS Employers of Clinical Research Professionals Salary Scales- Clinical Research Careers Competency-Based Education for Clinical Research Professionals From the Literature 1. Shamoo AE, Resnik DB. 2006. Ethical issues for clinical research managers. DIA J.;40:371383. 2. Carter, S. C., Jester, P. M., & Thomas Jones, C. (2007). Issues in clinical research manager education and training. Research Practitioner, 8(2):48-60 3. Jones CT, Harrison L, Carter S. Education and training preferences of clinical research managers. 2008. Research Practitioner ; 9(6):201-211. 3. Ekmekci O, Bocchino J, Turley C, Butler J. 2011 Who is a Clinical Research Professional? Monitor; 25(5):11-20. 4. Stonier PD, Naraynassamy C, MacGilchrist KS. 2011. Curricular and Training Needs of Pharmaceutical Physicians in the United States. Monitor; 25(6):9-15. 5. Jones, C.T., Parmentier, J., Sonstein, S., Silva, H., Lubejko, B., Pidd, H., Gladson, B., Browning, S. (2012). Defining competencies in clinical research: Issues in clinical research education. Research Practitioner, 13(3), 99-107. Educational Modalities Used by Clinical Research Professionals On the job training (Books, Articles) Employer Offerings (CEUs) Sponsor Meetings Private Offerings (Project-specific) (Barnett) Professional Organization Academic Self Study (Certification) continues to be a primary mode, until something happens! (Certificate, Degrees) & New Regulatory Requirements Basic Knowledge Areas (out of 19) Training Needed Ever Received Adequate Training Regulatory Affairs 86 46 Toxicity Testing 63 23 Pharmaceutical Development 62 24 Quality and Audit Issues 63 32 Drug Safety/Pharmacovigilance 82 51 Clinical Pharmacology 69 42 Statistics and Data Management 71 47 GXPs (eg, GCP, GMP, GLP) 81 58 Information Technology 42 22 Ethics and Legal Issues 77 58 Modified from Table 1 of Stonier PD, Naraynassamy C, MacGilchrist KS. 2011. Curricular and Training Needs of Pharmaceutical Physicians in the United States. Monitor 25(6):9-15. Newer Knowledge and Skills (out of 17) Training Needed Ever Received Adequate Training Translational Medicine 86 32 Biotechnology 68 27 Medical Devices 43 18 Globalization 81 25 Knowledge Management 76 26 Critical Thinking 65 30 Medical Writing 58 32 Conflict Management 61 36 Teaching and Training Others 52 31 Media Skills 43 29 Modified from Table 2 of Stonier PD, Naraynassamy C, MacGilchrist KS. 2011. Curricular and Training Needs of Pharmaceutical Physicians in the United States. Monitor 25(6):9-15. How can we narrow the learning gaps for clinical research professionals? What is the impact of learning gaps on healthcare costs and public safety ? Education vs training. Importance of critical thinking! CoAPCR Competency Development Process In Tandem! APPI ACRP NIH-NCRR-CTSA program NIH Clinical Center – Clinical Research Nursing2010 Oncology Nursing Society Royal College of Nursing (UK) Quality and Safety Education for Nurses (QSEN) IACRN Scopes and Standards CoAPCR Jones, C.T., Parmentier, J., Sonstein, S., Silva, H., Lubejko, B., Pidd, H., Gladson, B., Browning, S. (2012). Defining competencies in clinical research: Issues in clinical research education. Research Practitioner, 13(3), 99-107. CoAPCR Core Competency Domains 1. 2. 3. 4. 5. 6. 7. 8. Scientific Concepts and Principles of Research Design Medical Product Development Clinical Study Operation and Regulatory Compliance Ethical Considerations and the Responsible Conduct of Clinical Research Clinical Study and Site Management Data Management and Informatics Communication of Scientific Data Professionalism, Teamwork and Leadership Knowledge Committee on Accreditation (CoA) Chair, Stephen Sonstein Skills Program Curriculum & Courses Attitudes CoAPCR Mission The Consortium of Academic Programs in Clinical Research facilitates the development of high-quality educational programs encompassing all areas of clinical research that are based in academic credit-granting institutions. www.coapcr.org [email protected]